Focal Hand Dystonia Affecting Musicians. Part I: An Overview Of Epidemiology, PathoPhysiology And Medical Treatments Focal Hand Dystonia Affecting Musicians. Part I: An Overview Of Epidemiology, PathoPhysiology And Medical Treatments
نویسندگان
چکیده
In 1911, Oppenheim coined the term ‘dystonia’ to describe disordered motor control, characterised by an association of hypotonia and tonic muscle spasm. Focal hand dystonia is one form of this disorder, in which symptoms are often task-specific and occur during skilled movements such as writing (writer’s cramp) or playing a musical instrument (musician’s cramp). Much research has been conducted on the pathophysiology of dystonia, but the underlying mechanisms still remain unclear. Hypotheseses about functional central nervous system alterations continue to gain more support. Scientific treatmentbased publications on focal dystonia are sparse, and progress in evidencebased treatment options are necessary in order to assist this patient group. This paper will review the literature, documenting dystonia classification criteria, manifestations, pathophysiology and medical treatment techniques for musicians affected by focal hand dystonia.
منابع مشابه
Focal Hand Dystonia Affecting Musicians. Part II: An Overview Of Current Rehabilitative Treatment Techniques Focal Hand Dystonia Affecting Musicians. Part II: An Overview Of Current Rehabilitative Treatment Techniques
Focal Hand Dystonia is a complex and difficult condition to treat. Many treatment techniques have been trialled with musicians who suffer from this condition. Current treatments include: oral medications, Botulinum toxin (BTX) injections, surgery and rehabilitative therapies. The medical-based treatments have been discussed in a prior paper, and thus rehabilitative therapy treatment options and...
متن کاملThe challenge of diagnosing focal hand dystonia in musicians.
BACKGROUND AND PURPOSE To most clinicians, medical problems in musicians, particularly those concerning focal hand dystonia, constitute an unfamiliar domain difficult to manage. The latter can importantly influence diagnostics and the course of treatment. The purpose of this study was to enlighten the issue and to identify possible problems in diagnosing musicians' cramp within the Spanish medi...
متن کاملFocal dystonia in musicians: phenomenology, pathophysiology, triggering factors, and treatment.
Musician's dystonia is a task-specific movement disorder that manifests itself as a loss of voluntary motor control in extensively trained movements. Approximately 1% of all professional musicians develop musician's dystonia, and in many cases, the disorder terminates the careers of affected musicians. The pathophysiology of the disorder is not completely clarified. Findings include 1) reduced ...
متن کاملFocal dystonia in musicians: phenomenology, pathophysiology and triggering factors.
BACKGROUND Musician's dystonia is a task-specific movement disorder that manifests itself as a loss of voluntary motor control in extensively trained movements. In many cases, the disorder terminates the careers of affected musicians. Approximately, 1% of all professional musicians are affected. The pathophysiology of the disorder is still unclear. Findings include: (i) reduced inhibition in di...
متن کاملFocal hand dystonia in musicians: phenomenology, etiology, and psychological trigger factors.
NARRATIVE REVIEW: Musician's dystonia is a task-specific movement disorder, which manifests itself as a loss of voluntary motor control in extensively trained movements. In many cases, the disorder terminates the careers of affected musicians. Approximately 1% of all professional musicians are affected. In the past, focal dystonia (FD) was classified as a psychological disorder. Over time, the ...
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